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PURPOSE: COMPLIANCE <br />TEST DATE: 10/13/03 <br />CLIENT: COUNTRYSIDE MINI MART <br />14971 N. HWY 88 <br />LODI, CA 95240 <br />GARY BURGIN <br />(209)368-5380 <br />ANKNOLOGY CERTIFICATE OF TES <br />SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 57 <br />TELEPHONE (512) 451-6334 FAX (512) 459-1459 <br />TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 2228759 <br />CUSTOMER PO: <br />SITE: COUNTRY SIDE MINI MART <br />14971 N HWY 88 <br />LODI, CA 95240 <br />1 <br />SUPREME <br />5,000 <br />114.0 <br />GLASS STEE <br />2 <br />REG UNLEAD <br />10,000 <br />114.0 <br />GLASS STEE <br />3 <br />DIESEL <br />5,000 <br />114.0 <br />GLASS STEE <br />GARY BURGIN <br />(209)368-5380 <br />For owner detailed report information, visit www.tanknology.com and select On -Line Reports -WRAP, or contact your local Tanknology office. <br />Tester Name: RAYMOND SIMMS Technician Certification Number: <br />Tester Signature: Date Signed: <br />I declare under penalty of perjury that I am a licensed tank tester in the State of California and that the information contained in this report <br />is true and correct to the best of my knowledge. <br />